Dexamethasone eye insert, 0.1 mg

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DEXAMETHASONE 0.4 MG INTRACANALICULAR INSERT

Payers reporting HCPCS J1096

Payer pricing summary

Low

$52

Average

$560

Median

$277

High

$8.1k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +16 other terms	312	$169	$307	$313	102%	1–10	$81 – $3.3k
2	UnitedHealthcare fee schedule · outpatient · +20 other terms	519	$163	$184	$145	79%	—	$76 – $3.0k
3	Aetna fee schedule · outpatient · +20 other terms	365	$116	$209	$151	72%	—	$54 – $1.3k
4	Humana fee schedule · outpatient · +19 other terms	304	$107	$168	$269	160%	—	$83 – $1.7k
5	Blue Cross Blue Shield fee schedule · outpatient · +21 other terms	299	$181	$269	$194	72%	—	$1 – $951
6	Molina fee schedule · outpatient · +17 other terms	124	$146	$170	$133	78%	—	$68 – $1.3k
7	WellCare fee schedule · outpatient · +11 other terms	117	$106	$121	$44	37%	—	$92 – $265
8	Anthem facility · fee schedule · outpatient · +14 other terms	106	$120	$182	$120	66%	—	$12 – $981
9	Caresource fee schedule · outpatient · +9 other terms	70	$131	$161	$125	78%	—	$91 – $1.3k
10	Devoted fee schedule · outpatient · +3 other terms	66	$103	$106	$9	9%	—	$94 – $125
11	Ambetter facility · fee schedule · outpatient · +10 other terms	57	$154	$193	$57	30%	—	$103 – $288
12	Kaiser fee schedule · outpatient · +6 other terms	56	$139	$210	$207	98%	—	$74 – $1.2k
13	Highmark facility · fee schedule · outpatient · +6 other terms	44	$169	$210	$138	66%	—	$70 – $728
14	Optum fee schedule · outpatient · +14 other terms	39	$101	$486	$604	124%	—	$91 – $2.1k
15	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$510	$474	$218	46%	—	$106 – $917
16	Amerihealth Caritas facility · fee schedule · outpatient · +6 other terms	27	$103	$104	$4	4%	—	$97 – $122
17	Clover fee schedule · outpatient · +3 other terms	24	$119	$114	$12	10%	—	$97 – $133
18	Medicare fee schedule · outpatient · +3 other terms	24	$101	$128	$9	7%	—	$89 – $131
19	Oscar facility · fee schedule · outpatient · +8 other terms	24	$131	$141	$28	20%	—	$99 – $190
20	Aetna Better Health fee schedule · outpatient · +9 other terms	22	$120	$127	$23	18%	—	$96 – $163
21	Medical Mutual facility · fee schedule · outpatient · +6 other terms	21	$186	$203	$104	51%	—	$50 – $433
22	Healthpartners fee schedule · outpatient · +4 other terms	19	$135	$134	$7	5%	—	$94 – $138
23	Regence facility · fee schedule · outpatient · +4 other terms	19	$103	$115	$50	43%	—	$88 – $330
24	Tricare facility · fee schedule · outpatient · +5 other terms	18	$101	$399	$706	177%	—	$94 – $2.3k
25	Wellmark fee schedule · both · +4 other terms	14	$111	$110	$1	1%	—	$101 – $111

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